Orthostatic hypotension
- Remove offending drugs + correct volume loss
- Compression, fluids + salt when appropriate
- Midodrine or droxidopa are main pressor drugs
- Fludrocortisone expands volume but adds burden
- Supine HTN limits all pressor therapy
- Dose pressors during waking/upright hours
- Treat the underlying autonomic disorder
Use at a glance
- Remove offending drugs + correct volume loss
Treatment options
- Midodrine or droxidopa are main pressor drugs
- Fludrocortisone expands volume but adds burden
Other treatment options
- Supine HTN limits all pressor therapy
- Dose pressors during waking/upright hours
- Treat the underlying autonomic disorder
Choosing treatment
- Compression, fluids + salt when appropriate
Self-check
- When should pressors be dosed for orthostatic hypotension?
During waking/upright hours. - What limits all pressor therapy for orthostatic hypotension?
Supine hypertension.
Drugs used for this (2)
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